How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,659.59 | Professional | None | $1,548.82 | $1,548.82 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $2,691.53 Typical High $5,011.87 | Facility | None | $512.86 | $2,691.53 | $5,011.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,445.44 Median $1,659.59 Typical High $2,089.30 | Professional | None | $1,445.44 | $1,659.59 | $2,089.30 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,380.38 Typical High $2,570.40 | Facility | None | $758.58 | $1,380.38 | $2,570.40 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $2,041.74 Typical High $4,265.80 | Professional | None | $1,348.96 | $2,041.74 | $4,265.80 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $776.25 Median $776.25 Typical High $831.76 | Professional | 52 · Reduced service | $776.25 | $776.25 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $331.13 | Professional | 53 · Discontinued | $316.23 | $316.23 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $234.42 Typical High $251.19 | Professional | 55 · Aftercare only | $234.42 | $234.42 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $154.88 Typical High $165.96 | Professional | 56 · Pre-op care only | $154.88 | $154.88 | $165.96 |
Where Maryland sits
The same service costs 147.9 times more in Alaska than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Maryland· 39th of 51
$1,660
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.